11073 in cda representing anaesthetic vital sign data in a cda document, using the 11073 standard...
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11073 in CDA 11073 in CDA
Representing anaesthetic vital sign data in a CDA Representing anaesthetic vital sign data in a CDA document, using the 11073 standard document, using the 11073 standard
Martin Hurrell Alan Nicol
AcknowledgementsAcknowledgements
In no particular order thanks to:In no particular order thanks to:
Terri Monk Terri Monk (IOTA & HL7 Anesthesiology WG))(IOTA & HL7 Anesthesiology WG))
John Rhoads and Jan Wittenber (HL7 Healthcare Devices WG)John Rhoads and Jan Wittenber (HL7 Healthcare Devices WG)
Vital Signs Monitoring Setup
Connect the various probes and measurement devices to a patient so that their physiological values can be measured and recorded during an intra-operative procedure.
Scenario
A blood pressure cuff is placed on the left upper arm of the patient and connected to the patient monitors non-Invasive blood pressure module. The non-invasive blood pressure module uses a sphygmomanometric technique to measure systolic and diastolic blood pressure. Blood pressure values are typically measured in millimetres of Mercury (mmHg).
Actors
Patient: A person who is the recipient of healthcare services.Patient Monitor: an electronic medical device that measures and displays a patient's vital signs
Anaesthetic vital signs Anaesthetic vital signs use case (Setup)use case (Setup)
Vital Signs Monitoring Recording
The context is the measurement and storage of physiological values from a patient during a surgical procedure under anaesthesia. In the following example the values recorded are the patient’s non-invasive blood pressures.
Scenario
Monitoring starts and the first set of values of the Systolic, Mean and Diastolic blood pressures are collected after an initial interval of 5 minutes and at 5 minute intervals thereafter.
Actors
Patient: A person who is the recipient of healthcare services.Patient Monitor: an electronic medical device that measures and displays a patient's vital signs
Anaesthetic vital signs Anaesthetic vital signs use case (Recording)use case (Recording)
11073 Dim11073 Dim
Term Concept
Blood Pressure Measurement Metric
Module MDS
Non-Invasive Blood Pressure Channel
Patient monitor MDS
Patient monitor/Blood
Pressure Module
11073 Dim11073 Dim
Term Concept
Blood Pressure Measurement Metric
Module MDS
Non-Invasive Blood Pressure Channel
Patient monitor MDS
11073 Dim11073 Dim
Patient monitor/Blood
Pressure Module
Non-Invasive Blood Pressure
Term Concept
Blood Pressure Measurement Metric
Module MDS
Non-Invasive Blood Pressure Channel
Patient monitor MDS
11073 Dim11073 Dim
Patient monitor/Blood
Pressure Module
Non-Invasive Blood Pressure
Blood Pressure Measurement
Term Concept
Blood Pressure Measurement Metric
Module MDS
Non-Invasive Blood Pressure Channel
Patient monitor MDS
11073 to HL7 R-MIM11073 to HL7 R-MIM
11073 to HL7 R-MIM11073 to HL7 R-MIM
VMD (Patient Monitor)
11073 to HL7 R-MIM11073 to HL7 R-MIM
VMD (Patient Monitor)
Channel (Non-Invasive Blood
Pressure)
11073 to HL7 R-MIM11073 to HL7 R-MIM
VMD (Patient Monitor)
Channel (Non-Invasive Blood
Pressure)
Metric(Blood Pressure
Measurement)
11073 to CDA R-MIM11073 to CDA R-MIM
11073 to CDA R-MIM11073 to CDA R-MIM
VMD (Patient Monitor)
11073 to CDA R-MIM11073 to CDA R-MIM
VMD (Patient Monitor)
Channel (Non-Invasive Blood Pressure)
11073 to CDA R-MIM11073 to CDA R-MIM
VMD (Patient Monitor)
Channel (Non-Invasive Blood Pressure)
Metric (Blood Pressure
Measurement)
11073 to CDA Example 11073 to CDA Example (Recording)(Recording)
<observation><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><id extension="67" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><code code="19229" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_PRESS_CUFF_SYS"/><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><effectiveTime value="20080527074500"/><targetSiteCode code="1781" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_UPEXT_ARM_UPPER_L"/><statusCode codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="validated-data"/><value code="3872" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DIM_MMHG" value="119"/>
</observation></entryRelationship>
</observation>
11073 to CDA Example 11073 to CDA Example (Recording)(Recording)
<observation><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><id extension="67" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><code code="19229" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_PRESS_CUFF_SYS"/><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><effectiveTime value="20080527074500"/><targetSiteCode code="1781" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_UPEXT_ARM_UPPER_L"/><statusCode codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="validated-data"/><value code="3872" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DIM_MMHG" value="119"/>
</observation></entryRelationship>
</observation>
Channel (Non-Invasive Blood Pressure)
11073 to CDA Example 11073 to CDA Example (Recording)(Recording)
<observation><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><id extension="67" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><code code="19229" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_PRESS_CUFF_SYS"/><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><effectiveTime value="20080527074500"/><targetSiteCode code="1781" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_UPEXT_ARM_UPPER_L"/><statusCode codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="validated-data"/><value code="3872" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DIM_MMHG" value="119"/>
</observation></entryRelationship>
</observation>
Channel (Non-Invasive Blood Pressure)
Metric (Blood Pressure
Measurement)
11073 to CDA Example 11073 to CDA Example (Setup)(Setup)
<organizer classCode="CLUSTER" moodCode="EVN"><participant contextControlCode="OP" typeCode="DEV"><participantRole classCode="ROL"><id extension="23" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><id extension="1.3.2" root="2.16.840.1.113883.7.1" assigningAuthorityName="GE Healthcare" displayable="true"/><playingDevice classCode="DEV" determinerCode="INSTANCE"><code code="4429" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DEV_MON_PHYSIO_MULTI_PARAM_MDS"/><manufacturerModelName displayName="GE8001i"/><softwareName displayName="1.2.3"/></playingDevice></participantRole></participant>
11073 to CDA Example 11073 to CDA Example (Setup)(Setup)
<organizer classCode="CLUSTER" moodCode="EVN"><participant contextControlCode="OP" typeCode="DEV"><participantRole classCode="ROL"><id extension="23" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><id extension="1.3.2" root="2.16.840.1.113883.7.1" assigningAuthorityName="GE Healthcare" displayable="true"/><playingDevice classCode="DEV" determinerCode="INSTANCE"><code code="4429" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DEV_MON_PHYSIO_MULTI_PARAM_MDS"/><manufacturerModelName displayName="GE8001i"/><softwareName displayName="1.2.3"/></playingDevice></participantRole></participant>
VMD (Patient Monitor)
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